National Provider Identifier
Radomir D Stevanovic, MD
Radomir D Stevanovic, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 266-9100.
Profile Overview
- NPI
- 1508883208
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 17, 2006
- Last Updated
- July 27, 2010
Practice Location
- 2343 N Triphammer RD
- Ithaca, NY 14850-1092
Phone: (607) 266-9100
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1508883208
- Entity Type
- Individual
- Last Name
- Stevanovic
- First Name
- Radomir
- Middle Name
- D
- Credential
- MD
- Mailing Street Address
- 2343 N Triphammer RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1092
- Mailing Country
- US
- Mailing Phone
- (607) 266-9100
- Mailing Fax
- (607) 266-9200
- Practice Street Address
- 2343 N Triphammer RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1092
- Practice Country
- US
- Practice Phone
- (607) 266-9100
- Practice Fax
- (607) 266-9200
- Enumeration Date
- July 17, 2006
- Last Updated
- July 27, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01122458 (NY)